Muscle mass

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Systematic review & meta-analysis
Low skeletal muscle mass index associated with 57% higher all-cause mortality risk (pooled RR 1.57, 95% CI 1.25–1.96) across 16 prospective studies, 81,358 participants
Causal status: Associational; prospective cohort evidence, biologically plausible via frailty/functional decline pathway
Reliability / bias notes: Heterogeneous SMI definitions across studies; risk magnitude varies substantially by BMI subgroup
Wang et al · PLoS One · 2023 · PMID 37285331
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